Artificial Intelligence: Charlotta Lindvall, Matt DeCamp, Sei Lee

Artificial Intelligence: Charlotta Lindvall, Matt DeCamp, Sei Lee

Author: Alex Smith, Eric Widera June 15, 2023 Duration: 49:32
GeriPal - A Geriatrics and Palliative Medicine Podcast
HealthHealth & FitnessFitnessLifeMedicineScience

Artificial Intelligence, or AI, has tremendous potential.  We talk on this podcast about potential uses of AI in geriatrics and palliative care with natural language processing guru Charlotta Lindvall from DFCI, bioethicists and internist Matt DeCamp from University of Colorado, and prognosis wizard Sei Lee from UCSF.

  • Social companions to address the epidemic of loneliness among older adults

  • Augmenting ability of clinicians by taking notes

  • Searching the electronic health record for data

  • Predicting mortality and other outcomes

We talk also about the pitfalls of AI, including:

  • Recapitulation bias by race and ethnicity, and other factors, exacerbating disparities

  • Confidentiality concerns: do those social companions also monitor older adults for falls? 24/7?  

  • Hallucinations, or when the AI lies or bullshits, then denies it

  • When the AI approaches sentience, is it ethical to unplug it?

I'm sure this is a subject we will return to, given the rapid progress on AI.

Enjoy!

-@AlexSmithMD  

 

Links:

Papers on AI and palliative care and concerns about bias:
https://www.healthaffairs.org/do/10.1377/forefront.20200911.401376/
https://academic.oup.com/jamia/article/27/12/2020/5859726


Comparison of machine learning vs traditional prognostic methods based on regression:
https://www.ingentaconnect.com/content/wk/mcar/2022/00000060/00000006/art00011


Other links on the issue of AI and racial or ethnic bias:

Are Robots Racist? Greenwall Foundation Bill Stubbing lecture Are Robots Racist? Rethinking Automation and Inequity in Healthcare
https://www.nber.org/papers/w30700
https://www.science.org/doi/10.1126/sciadv.add2704
https://theconversation.com/including-race-in-clinical-algorithms-can-both-reduce-and-increase-health-inequities-it-depends-on-what-doctors-use-them-for-206168


MD Calc approach to inclusion of race https://www.mdcalc.com/race

 


Hosted by UCSF physicians Alex Smith and Eric Widera, GeriPal-A Geriatrics and Palliative Medicine Podcast creates a vital space for conversation at the intersection of aging and serious illness care. This isn't a dry lecture series; it's a dynamic dialogue where Eric and Alex bring on leading experts to unpack the complexities of geriatric and palliative medicine. They delve into the latest research that should change practice, tackle the ethical dilemmas that provoke debate, and explore the nuanced clinical challenges that professionals face daily. The tone is engaging and often surprisingly lighthearted, with moments of humor and even the occasional song, making profound topics more accessible. Whether you're a clinician, nurse, social worker, or any professional dedicated to this field, this podcast offers a blend of evidence-based insights and practical wisdom you can use. It’s a resource that acknowledges the weight of the work while fostering connection and continued learning. For those seeking formal education credits, AMA PRA Category 1 CME and MOC credit are also available through the show. Tune in to join a community committed to improving care for older adults and those with serious illness.
Author: Language: English Episodes: 399

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